Table 3.

The Recommended Use of PPE by CDC for Different Activities at Various Settings Managing Suspected/Confirmed COVID-19 Patients (

Adapted from Awad et al. [7], CDC [8], WHO [9])

Sl. no	Setting	Activity	Recommended PPE
1	Triage	Screening and initial examination of patients	Surgical mask Regular AAMI level-II gown Goggles or face shields Gloves Hand hygiene before and after examining each patient
2	ED consultation rooms	Examination of patient: negative COVID-19 with no signs of respiratory illness	Surgical mask Gloves Regular disinfection of personal items, instruments, etc. Hand hygiene before and after examining each patient
3	ED consultation rooms	Examination of patient: suspected/confirmed COVID-19 or patient with fever or signs of respiratory illness	Fitted, NIOSH-certified N-95 mask (if available) or surgical mask (consider double/multiple mask technique and ensure tight-fitting) Regular AAMI level-II gown Eye protection; goggles (covered sides of eyes) or full-face shields Gloves (double gloves should be considered in trauma level I cases) Hand hygiene before and after examining each patient
4	Procedure rooms	Providing noninvasive medical care for suspected/confirmed COVID-19 patients	PAPR (if available) or, fitted NIOSH-certified N-95 mask Eye protection; goggles (covered sides of eyes) or face shields Disposable AAMI level-III surgical gown or coveralls Double high-cuffed surgical glovesa Shoes worn should be fluid-resistant and easily to be decontaminatedb Hand hygiene before and after donning/doffing PPE A shower after respiratory aerosol-generating procedures is very prudent
5	Operating room	Providing emergent surgical treatment for suspected/confirmed COVID-19 patient	PAPR is preferred for long operations or, fitted NIOSH-certified N-95 mask Eye protection; goggles (covered sides of eyes) or face shields Disposable AAMI level-III surgical gown or coveralls Double high-cuffed surgical glovesa Shoes worn should be fluid-resistant and easily to be decontaminatedb Hand hygiene before and after donning/doffing PPE
6	Operating room	Performing aerosolized-blood generating procedures for suspected/confirmed COVID-19 patient	PAPR is preferred for long operations or, fitted NIOSH-certified N-95 mask Eye protection; goggles (covered sides of eyes) or face shields Surgical hood with ties (head and neck covering) Disposable AAMI level-III surgical gown or coveralls Double high-cuffed surgical glovesa Shoes worn should be fluid-resistant and easily to be decontaminatedb Hand hygiene before and after donning/doffing PPE A shower after an aerosolized-blood generating procedure is very prudent
7	Recovery room	PPE doffing	Special attention is warranted to avoid self-contamination during PPE doffing

AAMI Association of the Advancement of Medical Instrumentation, ED emergency department, NIOSH National Institute for Occupational Safety and Health, PAPR powered air-purifying respirator

^aAlternately, vertical strips of tape can keep gloves secured to the gown

^bDisposable shoe covers might increase risk of contamination